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Arizona rates for HCPCS L1940

Ankle-foot orthosis (AFO), plastic or other material, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.14 / $334.62 / $421.62
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$557.15 / $557.15 / $572.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.03 / $704.55 / $1,273.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$528.21 / $650.10 / $837.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$372.88 / $372.88 / $372.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.20 / $272.20 / $680.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179.44 / $496.37 / $3,004.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.97 / $277.95 / $418.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.22 / $277.95 / $418.70